Healthcare Provider Details

I. General information

NPI: 1417136037
Provider Name (Legal Business Name): JEFFREY N WEISS MD.PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 COLONIAL DR STE 300
MARGATE FL
33063-5674
US

IV. Provider business mailing address

5800 COLONIAL DR STE 300
MARGATE FL
33063-5674
US

V. Phone/Fax

Practice location:
  • Phone: 954-975-0044
  • Fax: 954-975-0338
Mailing address:
  • Phone: 954-975-0044
  • Fax: 954-975-0338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY N WEISS
Title or Position: PRACTICING PHYSICIAN
Credential: MD
Phone: 954-975-0044